facebook tracking Pulmonary embolism with major complications or acute cor pulmonale cost in Connecticut: 12 hospitals compared (DRG 175)

Pulmonary embolism with major complications or acute cor pulmonale in Connecticut

What 12 hospitals in Connecticut charged and were paid for a Medicare hospital stay for pulmonary embolism with major complications or acute cor pulmonale (DRG 175), from 2024 Medicare claims.

DRG 175 Inpatient 2024 Medicare data
Average charge $56,703 Hospital list price billed
Average payment $16,324 Medicare + patient + other payers
Medicare paid $12,963 Average per stay
State rank #45 of 48 1 = lowest average payment

Hospitals in Connecticut billed an average of $56,703 for pulmonary embolism with major complications or acute cor pulmonale, about 3.5 times the average total payment of $16,324. That payment is 21% above the U.S. average of $13,466.

These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.

Paid $16,324Billed $56,703

About 29¢ was paid for every $1 hospitals in Connecticut billed for this stay.

Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in Connecticut:

Connecticut hospitals: pulmonary embolism with major complications or acute cor pulmonale

Every Connecticut hospital that billed Medicare for this stay at least 11 times. Click a column to sort.

Hospital Stays Avg charge Avg payment Medicare paid
Yale-New Haven HospitalNew Haven 56 $54,763 $17,767 $14,797
Danbury HospitalDanbury 43 $35,888 $14,266 $12,113
Hartford HospitalHartford 37 $79,170 $19,165 $12,428
Bridgeport HospitalBridgeport 26 $53,590 $15,576 $13,137
Saint Marys HospitalWaterbury 19 $49,542 $14,042 $12,128
William W Backus HospitalNorwich 19 $52,560 $17,192 $10,192
St Francis Hospital & Medical CenterHartford 17 $63,051 $14,509 $12,378
John Dempsey HospitalFarmington 16 $57,374 $21,983 $17,372
St Vincent's Medical CenterBridgeport 15 $73,389 $13,989 $12,699
Lawrence & Memorial HospitalNew London 13 $49,191 $12,451 $11,245
Midstate Medical CenterMeriden 13 $58,638 $15,627 $10,924
Stamford HospitalStamford 12 $71,002 $14,964 $13,788
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Lowest and highest payments in Connecticut

Among hospitals with at least 11 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Lowest

Lawrence & Memorial HospitalNew London, CT$12,451
St Vincent's Medical CenterBridgeport, CT$13,989
Saint Marys HospitalWaterbury, CT$14,042
Danbury HospitalDanbury, CT$14,266
St Francis Hospital & Medical CenterHartford, CT$14,509

Highest

John Dempsey HospitalFarmington, CT$21,983
Hartford HospitalHartford, CT$19,165
Yale-New Haven HospitalNew Haven, CT$17,767
William W Backus HospitalNorwich, CT$17,192
Midstate Medical CenterMeriden, CT$15,627

Pulmonary embolism with major complications or acute cor pulmonale in other states

Questions

How much does pulmonary embolism with major complications or acute cor pulmonale cost in Connecticut?

In 2024 Medicare data, a hospital stay for pulmonary embolism with major complications or acute cor pulmonale (DRG 175) at 12 hospitals in Connecticut was billed at $56,703 on average, while the average total payment was $16,324, of which Medicare paid $12,963. Your own cost depends on your insurance, deductible and the hospital.

Why are hospital charges so much higher than payments?

Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this stay in Connecticut, average charges were 3.5 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.

Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.